Provider Demographics
NPI:1619276540
Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE VAN NUYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:14812 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3143
Mailing Address - Country:US
Mailing Address - Phone:818-779-0372
Mailing Address - Fax:818-779-0479
Practice Address - Street 1:14812 OXNARD ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-3143
Practice Address - Country:US
Practice Address - Phone:818-779-0372
Practice Address - Fax:818-779-0479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-17
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA552701Medicare Oscar/Certification